Provider Demographics
NPI:1457468399
Name:WARD, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 BRIDGE CREEK DR NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-1300
Mailing Address - Country:US
Mailing Address - Phone:256-734-7707
Mailing Address - Fax:256-734-7796
Practice Address - Street 1:1300 BRIDGE CREEK DR NE
Practice Address - Street 2:SUITE B
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-1300
Practice Address - Country:US
Practice Address - Phone:256-734-7707
Practice Address - Fax:256-734-7796
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2016-04-15
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Provider Licenses
StateLicense IDTaxonomies
AL4867437207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH17204Medicare UPIN